Information Collection

Teacher Verification Form for Title II Scholarship Recipients

IC 184029 under ICR 201612-1840-002 · OMB 1840-0753.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Teacher Verification Form for Title II Scholarship Recipients	Form
Verification of Teacher Obligation 1840-0753 Att_Nov_2016_TQE_Verific-AB_Revised clean.doc	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Verification of Teacher Obligation	1840-0753 Att_Nov_2016_TQE_Verific-AB_Revised clean.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Teacher Quality Recruitment Scholarship System

FR Citation: 65 FR 60712

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 40 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,000	960	40
Annual IC Time Burden (Hours)	1,000	940	60
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.